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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1993-5-20
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pubmed:abstractText |
Microalbuminuria in patients with essential hypertension is associated with increased incidence of cardiovascular morbidity and mortality. Reduction of urinary albumin excretion (UAE) with therapy could reduce cardiovascular events. The long-term effect of commonly used antihypertensive agents on UAE has not been properly investigated. In the present study, we have prospectively studied the effects of therapy for 24 months with a converting enzyme inhibitor, enalapril, or a calcium channel blocker, nicardipine, on UAE in 40 patients with essential hypertension and microalbuminuria. Enalapril and nicardipine were equally effective in reducing arterial pressure. However, enalapril decreased UAE from 77.1 +/- 10.4 to 30.4 +/- 7.9 mg/24 h after 1 year, and to 24.7 +/- 4.8 (P < .01) after 2 years of therapy. UAE however, did not change in patients treated with nicardipine (from 65.2 +/- 12 to 73 +/- 14 after 1 year, and to 52.7 +/- 21 mg/24 h after 2 years of therapy). The impact of reducing UAE on overall cardiovascular morbidity and mortality and on future progression of renal failure in patients with essential hypertension remains to be established.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0895-7061
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
6
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
108-13
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pubmed:dateRevised |
2009-2-24
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pubmed:meshHeading |
pubmed-meshheading:8471229-Albuminuria,
pubmed-meshheading:8471229-Blood Pressure,
pubmed-meshheading:8471229-Enalapril,
pubmed-meshheading:8471229-Humans,
pubmed-meshheading:8471229-Hypertension,
pubmed-meshheading:8471229-Middle Aged,
pubmed-meshheading:8471229-Morbidity,
pubmed-meshheading:8471229-Nicardipine,
pubmed-meshheading:8471229-Prospective Studies,
pubmed-meshheading:8471229-Time Factors
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pubmed:year |
1993
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pubmed:articleTitle |
Long-term effects of a converting enzyme inhibitor and a calcium channel blocker on urinary albumin excretion in patients with essential hypertension.
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pubmed:affiliation |
U.O. di Nefrologia e Dialisi, Spedali Riuniti, Livorno, Italy.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial,
Controlled Clinical Trial
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